Organization
THI OF NEVADA AT HEARTHSTONE, LLC
Active
Other names
Hearthstone of Northern Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY LARSON (PRESIDENT)
(775) 626-2224
Entity
Organization
Contact information
Practice address
1950 BARING BLVD, SPARKS, NV 89434-6735
(775) 626-2224
Mailing address
920 RIDGEBROOK RD, SPARKS GLENCOE, MD 21152-9390
(410) 773-1000
(410) 773-1321
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1186SNF-14
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001916850
—
NV
Enumeration date
06/03/2006
Last updated
06/28/2011
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